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NPI Code Detail

MEDICARE: PAOLA JULIANA SUAREZ M.D.

MEDICARE: PAOLA JULIANA SUAREZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician67096GA
2208000000XPediatrics Physician19949MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3C02394OTHERMSMEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326221698
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAOLA JULIANA SUAREZ M.D.
Provider Business Mailing Address
First Line : 260 ELM ST
Second Line :
City : CUMMING
State : GA
Zip : 30040-2467
Country : US
Telephone Number : 770-887-1668
Fax Number : 770-887-3462
Provider Business Practice Location Address
First Line : 220 OAKSIDE LN
Second Line :
City : CANTON
State : GA
Zip : 30114-6413
Country : US
Telephone Number : 678-807-1050
Fax Number : 678-807-1055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2007
Last Update Date : 07/01/2014

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